Kimberly Dennise Gonzalez, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1017811 Issued in TX

Practice address

433 County Road 133
Alice, TX 78332-9365

Phone

(361) 207-3388

NPI assigned

Oct 24, 2020

Last updated

Oct 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Haitham Jifi MD PAGroup PAC ID 4880870435, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mother's Care Home Health Services, Inc Home health agency, Las Vegas, NV, CCN 297130

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haitham Jifi MD PA

  • Internal Medicine Physician
  • Corpus Christi, TX
  • NPI 1477871861
  Medicare reassignment Care Compare group NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mother's Care Home Health Services, Inc.

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1508809526
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603497600000",
    "number": "1902405533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 COUNTY ROAD 133",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783329365",
            "telephone_number": "361-207-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 COUNTY ROAD 133",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783329365",
            "telephone_number": "361-207-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "KIMBERLY",
        "middle_name": "DENNISE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-24",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1017811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gold Horses, LLC (Del Cielo Home Care Services)
• Gold Horses, LLC (Del Cielo Adult Day Care)
• Golden Horizons Hospice Corporation
• Emmanuel Gonzalez, LPTA
• Kazaundra Gonzalez, COTA
• Olivia Trevino Gonzalez, M.S. CF-SLP
• Pauline B Gonzalez, LCDC
• Melanie Gracia
• David Cabell Gray, MD
• Guadalupe Emergency Medicine Associates, PA

• Family Nurse Practitioner in Alice, TX
• Providers in Alice, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.